Provider Demographics
NPI:1619403664
Name:ARENS, SADIE
Entity Type:Individual
Prefix:
First Name:SADIE
Middle Name:
Last Name:ARENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GREEN MEADOW CT
Mailing Address - Street 2:UNIT 7
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9488
Mailing Address - Country:US
Mailing Address - Phone:712-540-8037
Mailing Address - Fax:
Practice Address - Street 1:710 PACHA PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4821
Practice Address - Country:US
Practice Address - Phone:319-626-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor